Biographic Information (for Deferred Action)

• Legal Form Number: G-325A
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

G-325A, Biographic Information

(for Deferred Action)

Family Name First Name File Number

Citizenship/Nationality

Middle Name Date of Birth

(mm/dd/yyyy)

A

OMB No. 1615-0008; Expires 08/31/2025

Department of Homeland Security

U.S. Citizenship and Immigration Services

All Other Names Used (include names by previous marriages) U.S. Social Security No. (if any)

City and Country of Birth

Family Name First Name City, and Country of Birth

(if known)

Father

Mother

(Maiden Name)

City and Country of Residence

Current Husband or Wife (If none, type or print

"none") Family Name (For wife, give maiden name) Date of Birth

(mm/dd/yyyy)

First Name City and Country of

Birth Date of Marriage

(mm/dd/yyyy) Place of Marriage

Applicant's residence last five years. List present address first.

Street Name and Number City Province or State Country From

Month Year To

Month Year

Present Time

Applicant's last address outside the United States of more than 1 year.

Street Name and Number City Province or State Country From

Month Year To

Month Year

Full Name and Address of Employer Occupation (Specify) From

Month Year To

Month Year

Present Time

Applicant's employment last five years. (If none, type or print "none.") List present employment first.

If your native alphabet is in other than Roman letters, write your name in your native alphabet below:

Last occupation abroad if not shown above. (Include all information requested above.)

This form is submitted for:

Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.

Applicant: Print your name and Alien Registration Number in the box outlined by heavy border below.

(Alien Registration Number)

Complete This Box (Family Name) (Middle Name)(Given Name)

Date (mm/dd/yyyy)

Signature of Applicant

Deferred Action Request

Form G-325A (Rev. 08/30/22)

First Name Date of Birth

(mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of

Marriage

Former Husbands or Wives (If none, type or print

"none") Family Name (For wife, give maiden name)

Female

Male

Date of Birth

(mm/dd/yyyy)

A